NPI | 1538386081 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD LC2091) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: DC PRC13814) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2018-09-10 |